Organization
ST. VINCENT PHYSICIAN NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D BRUCE HAGA (VICE PRESIDENT)
(317) 338-7425
Entity
Organization
Contact information
Practice address
900 N COLUMBIA ST, UNION CITY, IN 47390-9496
(765) 964-6200
Mailing address
9588 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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